Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Gina Wilson, Chief Financial Officer, San Mateo County Health
Subject: Amendment to the Agreement with the San Mateo Health Commission
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with the San Mateo Health Commission dba Health Plan of San Mateo for services to Medi-Cal members, for the term of January 1, 2015, through December 31, 2024, funded through Intergovernmental Transfers.
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BACKGROUND:
The County of San Mateo has contracted with the San Mateo Health Commission dba Health Plan of San Mateo (HPSM) since January 1994. This Board has approved numerous agreements and amendments for the provision of healthcare and behavioral healthcare services to HPSM members, including those enrolled in the Medi-Cal program. This Board has also approved prior agreements and amendments related to Intergovernmental Transfers (IGTs), a federally approved mechanism whereby County funds are provided to the State to draw down matching federal dollars for the Medi-Cal program. The County has long used IGTs to help pay for health services.
On April 11, 2017, this Board entered into an agreement with HPSM to provide supplemental payments to County Health for services provided to HPSM members, based on an IGT arrangement for FY 2015-16 and FY 2016-17 for the term of July 1, 2015, through September 30, 2019.
On June 6, 2017, this Board approved two amendments to the agreement to include additional payments from HPSM to County Health for FY 2015-16 totaling an amount not to exceed $21,056,738, or $10,528,367 in net new revenue; and for FY 2016-17 totaling an amount not to exceed $5,850,265, or $2,925,133 in net new revenue.
On February 27, 2018, this Board approved the third amendment to the agreement to include additional payments from HPSM to County Health for FY 2016...
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